VPB-12399-53233
4 vaccinations
6 coded responses
47 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 303 / GA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workFree text: Difficulty concentratingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Pain, Pain in extremity — Feeling: GoodFree text: Arm pain returned with some itching on 1/8. No rash just mildly sore with shoulder range of motion and itching at the site of vaccination. Lasted 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-19
Dose 2 — Pfizer-BioNTech
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, HeadacheAdult check-in
- 2021-01-21
- 2021-01-22
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
-
2021-07-20
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms related to pregnancy- nausea, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-21
- 2021-07-26
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory symptom, SARS-CoV-2 test positive — Feeling: Fair · Muscle or body aches, Vomiting · Be unable to work or attend schoolFree text: Covid antigen + now with URI symptoms. My PCR is pending.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Breakthrough COVID-19, Cough, Fatigue, Malaise, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Ill with breakthrough COVID. Cough, rhinorrhea, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Health check-in — day 7, dose 3Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-09-19
Dose 4 — ModernaCo-administered: Flu
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-09-19 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | priority 2/3 | |
| 2021-07-20 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Difficulty concentrating
Release 1 — day 14, dose 1
Symptoms: Arm pain returned with some itching on 1/8. No rash just mildly sore with shoulder range of motion and itching at the site of vaccination. Lasted 2 days
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 9 — 6 months, dose 2
Symptoms: Symptoms related to pregnancy- nausea, fatigue
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Covid antigen + now with URI symptoms. My PCR is pending.
Systemic reaction (other): Ill with breakthrough COVID. Cough, rhinorrhea, fatigue
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Breakthrough COVID-19 | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Respiratory symptom | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release